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Etiology and Management of Severely Burned Children: Psychosocial Considerations

Etiology and Management of Severely Burned Children: Psychosocial Considerations Abstract A SEVERE burn in a child is an extremely stressful experience for both the child and his family. Not only is the physical recovery slow and painful, but the psychological trauma has long-lasting effects. Follow-up studies1,2 of the children who have recovered physically from severe burns have revealed that emotional disturbances exist in approximately 80% of the children and 60% of their mothers. The majority of these mothers thought the disturbances in their children were the result of the burn experience, pain, and the separation from home during the hospitalization. However, Long and Cope3 report a high incidence of psychopathology in the family unit antedating the burn incident, and Vigliano et al4 further suggest that chronic relationship problems may become overtly manifest only at the time of the children's burns. Previous work by the present authors also emphasizes the importance of considering the "battered child syndrome" in References 1. Woodward, J.M.: Emotional Disturbances of Burned Children , Brit Med J 5128:1009-1013, 1959.Crossref 2. Woodward, J.M., and Jackson, D.M.: Emotional Reactions in Burned Children and Their Mothers , Brit J Plast Surg 13:316-324 ( (April) ) 1961.Crossref 3. Long, R.T., and Cope, O.: Emotional Problems of Burned Children , New Eng J Med 264:1121-1127 ( (June) ) 1961.Crossref 4. Vigliano, A.; Hart, L.W.; and Singer, F.: Psychiatric Sequelae of Old Burns in Children and Their Parents , Amer J Orthopsychiat 34:753-761 ( (July) ) 1964.Crossref 5. Holter, J.C., and Friedman, S.B.: Child Abuse , Pediatrics 42:128-138 ( (July) ) 1968. 6. Borland, B.L.: Prevention of Childhood Burns , Clin Pediat 6:693-695 ( (Dec) ) 1967.Crossref 7. Holter, J.C., and Friedman, S.B.: Principles of Management in Child Abuse Cases , Amer J Orthopsychiat 38:127-136 ( (Jan) ) 1968.Crossref 8. Terr, L.C., and Watson, A.S.: Battered Child Rebrutalized , Amer J Psychiat 124:1432-1439, 1968. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Etiology and Management of Severely Burned Children: Psychosocial Considerations

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1969.02100040682002
Publisher site
See Article on Publisher Site

Abstract

Abstract A SEVERE burn in a child is an extremely stressful experience for both the child and his family. Not only is the physical recovery slow and painful, but the psychological trauma has long-lasting effects. Follow-up studies1,2 of the children who have recovered physically from severe burns have revealed that emotional disturbances exist in approximately 80% of the children and 60% of their mothers. The majority of these mothers thought the disturbances in their children were the result of the burn experience, pain, and the separation from home during the hospitalization. However, Long and Cope3 report a high incidence of psychopathology in the family unit antedating the burn incident, and Vigliano et al4 further suggest that chronic relationship problems may become overtly manifest only at the time of the children's burns. Previous work by the present authors also emphasizes the importance of considering the "battered child syndrome" in References 1. Woodward, J.M.: Emotional Disturbances of Burned Children , Brit Med J 5128:1009-1013, 1959.Crossref 2. Woodward, J.M., and Jackson, D.M.: Emotional Reactions in Burned Children and Their Mothers , Brit J Plast Surg 13:316-324 ( (April) ) 1961.Crossref 3. Long, R.T., and Cope, O.: Emotional Problems of Burned Children , New Eng J Med 264:1121-1127 ( (June) ) 1961.Crossref 4. Vigliano, A.; Hart, L.W.; and Singer, F.: Psychiatric Sequelae of Old Burns in Children and Their Parents , Amer J Orthopsychiat 34:753-761 ( (July) ) 1964.Crossref 5. Holter, J.C., and Friedman, S.B.: Child Abuse , Pediatrics 42:128-138 ( (July) ) 1968. 6. Borland, B.L.: Prevention of Childhood Burns , Clin Pediat 6:693-695 ( (Dec) ) 1967.Crossref 7. Holter, J.C., and Friedman, S.B.: Principles of Management in Child Abuse Cases , Amer J Orthopsychiat 38:127-136 ( (Jan) ) 1968.Crossref 8. Terr, L.C., and Watson, A.S.: Battered Child Rebrutalized , Amer J Psychiat 124:1432-1439, 1968.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Nov 1, 1969

References